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Based on its distinctive innervation between the brain and body, the vagal nerve has long been considered to play an important role in explaining how exposure to stress leads to numerous psychiatric disorders and cardiac diseases. In contrast to activation of the sympathetic nervous system during exposures to stress, the vagal nerve is responsible for parasympathetic regulation of visceral activity including cardiac functioning that often but not always co-occurs during periods of stress. Although methods exist to measure vagal nerve influences on the heart directly, most of the literature on both human and animal participants’ responses to stress employs the measurement of heart rate variability (HRV). HRV, the tendency for the heart rate to increase and decrease in adaptation to the changing physiological and external environment, can be easily detected using surface electrodes; several HRV parameters have been shown to be valid indicators of parasympathetic nerve activity. Theories of the evolutionary heritage of the vagal nerve, like Porges’ polyvagal theory and the subsequent neurovisceral integration perspective of Thayer and colleagues that traces the autonomic regulation of the heart into higher cortical regions, have served as important conceptual works to guide empirical work examining the effects of stress on both tonic and phasic vagal activity. A number of methodological approaches have been employed to evaluate whether exposure to stress affects vagal tone, including use of animal models, case-control samples of humans exposed to stressful living situations, and samples of humans diagnosed with a range of psychiatric disorders. Findings from studies comprising this literature support a relation between exposure to stress and reduced cardiac vagal tone. Both humans and animals typically exhibit reductions in daily HRV when exposed to a range of stressful situations or contexts. The relation between stress and phasic alterations in vagal functioning, the magnitude of the acute change in HRV in response to an acute stressor, is more complicated, likely involving significant moderating variables that have yet to be elucidated. In sum, considerable evidence supports an important neuroregulatory role of the vagal nerve in modulating the body’s response to environmental stress and potentially serving as an avenue for understanding how exposure to stress increases risk for psychiatric disorders as well as cardiovascular disease.

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